Will to Live in Older Nursing Home Residents: A Cross-Sectional Study in Switzerland.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_12E3444CCB33
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Will to Live in Older Nursing Home Residents: A Cross-Sectional Study in Switzerland.
Journal
Journal of pain and symptom management
Author(s)
Bornet M.A., Rubli Truchard E., Bernard M., Pasquier J., Borasio G.D., Jox R.J.
ISSN
1873-6513 (Electronic)
ISSN-L
0885-3924
Publication state
Published
Issued date
11/2021
Peer-reviewed
Oui
Volume
62
Number
5
Pages
902-909
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The will to live (WTL) is an important indicator of subjective well-being. It may enable a deeper understanding of the well-being of nursing home residents.
To evaluate the intensity of WTL, its association with various factors, and its temporal evolution among residents ≥ 65 years old; we also aimed to compare it with proxy assessments of WTL.
A cross-sectional study was conducted in five nursing homes in Switzerland. Participants with decisional capacity were asked to rate the intensity of their WTL on a single-item numerical rating scale ranging from 0-10. A short-term follow-up was conducted among a sub-sample of 17 participants after three and six weeks. Proxy assessment by residents' next of kin and professional caregivers was conducted, and inter-rater agreement was calculated.
Data from 103 participants (75.7% women, 87.3 ± 8.0 years) was analyzed. The median intensity of WTL was 8. Higher WTL was significantly associated with better physical mobility and shorter duration of daily care but not with age, gender, pre-admission care setting, or prognosis. Significant independent predictors of WTL were physical mobility and provenance from rehabilitative care. In the short-term follow-up assessment, WTL remained highly stable. Intraclass correlation coefficients were moderate for residents' next of kin and nurse assistants but poor for physicians and nurses; all proxy assessments underestimated the participants' WTL.
Nursing home residents expressed a very strong WTL and proxy aents underestimated residents' WTL. It seems pivotal to proactively communicate with residents about their WTL.
Keywords
Aged, Caregivers, Cross-Sectional Studies, Female, Humans, Male, Nursing Homes, Proxy, Switzerland, Will to live, geriatric palliative care, nursing homes, older persons, wish to live
Pubmed
Web of science
Open Access
Yes
Funding(s)
Fondation Leenaards
Other / G. and J. Bangerter- Rhyner Foundation and the Swiss Academy of Medical Sciences
Create date
08/05/2021 13:56
Last modification date
20/11/2021 6:34
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